Does maternal psychological distress affect neurodevelopmental outcomes of preterm infants at a gestational age of ≤32 weeks

被引:26
作者
Bozkurt, Ozlern [1 ]
Eras, Zeynep [2 ]
Sari, Fatma Nur [1 ]
Dizdar, Evrim Alyamac [1 ]
Uras, Nurdan [1 ]
Canpolat, Fuat Emre [1 ]
Oguz, Serife Suna [1 ]
机构
[1] Zekai Tahir Burak Matern Teaching Hosp, Dept Neonatol, Ankara, Turkey
[2] Zekai Tahir Burak Matern Teaching Hosp, Dept Dev Behav Pediat, Ankara, Turkey
关键词
Maternal depression; Preterm; Neurodevelopment; BECK DEPRESSION INVENTORY; BIRTH-WEIGHT INFANTS; POSTPARTUM DEPRESSION; PARENTING STRESS; BEHAVIORAL-ASSESSMENT; POSTTRAUMATIC STRESS; POSTNATAL DEPRESSION; MOTHER; IMPACT; PREGNANCY;
D O I
10.1016/j.earlhumdev.2016.11.006
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background: There is some evidence that maternal psychological status in the prenatal and postnatal periods is associated with infants' cognitive, behavioural, and emotional functions. Aim: The aim of this study was to examine the relationships of maternal depression and anxiety with neurodevelopmental outcomes of preterm infants with a gestational age of <= 32 weeks, examined at a corrected age of 18 to 22 months. Study design: Cross-sectional study. Subjects: In total, 220 preterm infants with a gestational age of <= 32 weeks who were born from January 2008 to September 2011 and admitted to the neonatal intensive care unit were prospectively examined. Outcome measures: Neurodevelopmental evaluation was performed at a corrected age of 18 to 22 months by a developmental paediatrician using the Bayley Scales of Infant Development II (BSID-II). The Beck Depression Inventory and Beck Anxiety Inventory were used to assess maternal depression and anxiety at the same visit as the neurodevelopmental evaluation. Results: The depression scores of mothers of infants with a Mental Development Index (MDI) score of <70 were significantly higher than those of mothers of infants with an MDI score of >70 (16.3 +/- 12.8 vs 8.8 +/- 7.0, p < 0.001). The depression scores of mothers of infants with neurodevelopmental impairment were also significantly higher than those without neurodevelopmental impairment (12.8 +/- 10.5 vs 8.8 +/- 73, p = 0.003). There was no relationship between the presence of cerebral palsy or a Psychomotor Developmental Index (PDI) score of <70 and the mothers' depression scores. Multiple regression analysis revealed that maternal depression and the occurrence of more than two sepsis attacks were associated with an MDI score of <70, and grade III to IV intraventricular haemorrhage was associated with neurodevelopmental impairment and a PDI score of <70. Conclusion: Maternal depression is negatively associated with the neurodevelopment of preterm infants at a gestational age of <= 32 weeks. Maternal psychological well-being should be taken into consideration during the long-term follow-up of preterm infants. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:27 / 31
页数:5
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